Provider Demographics
NPI:1053646083
Name:R&B WELLNESS, LLC
Entity Type:Organization
Organization Name:R&B WELLNESS, LLC
Other - Org Name:BLUE HERON WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ELISA
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVETTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-754-3730
Mailing Address - Street 1:10723 COLUMBIA PIKE STE B
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-4445
Mailing Address - Country:US
Mailing Address - Phone:301-754-3730
Mailing Address - Fax:301-754-3731
Practice Address - Street 1:10723 COLUMBIA PIKE STE B
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-4445
Practice Address - Country:US
Practice Address - Phone:301-754-3730
Practice Address - Fax:301-754-3731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-08
Last Update Date:2009-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty